Organization Active NPI

Buabeng Family LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baton Rouge, LA
National Provider Identifier
1053081588
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BUABENG FAMILY LLC
Practice address
7423 Picardy Ave Ste D
Baton Rouge, LA 70808-4362
Phone
(225) 228-2564
NPI assigned
Sep 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kwame Baubeng, MD
Title
Owner
Phone
(757) 373-3551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

7423 Picardy Ave Ste D
Baton Rouge, LA 70808-4362

Mailing address

7423 Picardy Ave Ste D
Baton Rouge, LA 70808-4362
Phone (225) 228-2564

Other identifiers 1

IdentifierTypeStateIssuer
305542OtherLAMEDICAL BOARD

National Provider Directory

National Provider Directory

Locations

7423 Picardy Ave
Ste D
Baton Rouge, LA 70808
Phone (225) 228-2564

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1053081588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7423 PICARDY AVE STE D",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084362",
            "telephone_number": "225-228-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7423 PICARDY AVE STE D",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084362",
            "telephone_number": "225-228-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUABENG FAMILY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "BAUBENG",
        "authorized_official_first_name": "KWAME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-373-3551",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD",
            "identifier": "305542",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.